JOHN B WHITE (MD) – Psychiatry Physician, NPI 1063453223

JOHN B WHITE (MD) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 16315 (OK). The NPI Number for JOHN B WHITE (MD) is 1063453223

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
JOHN B WHITE (MD)
NPI
1063453223
Phone
(918) 357-5859
Address
PO BOX 140156
Enumeration Date
9 June 2006
Last Update Date
7 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185822131
Graduation Year
1981 (45 years ago)
PAC ID
8325148034
Group Practice PAC ID
5496644049
Professional Enrollment ID
I20070711000102
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN B WHITE (MD)

  • PO BOX 140156

    BROKEN ARROW, OK 74014

    Phone: (918) 357-5859

    Fax: (918) 357-5859

    Type: Mailing

  • 1620, East 12th Street, Forest Orchard, Tulsa, Tulsa County, Oklahoma, 74120, United States

    TULSA, OK 741205407

    Phone: (918) 357-5859

    Fax: (918) 357-5859

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($44).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070711000102IPsychiatryOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496644049View full group profile
NameSpecialtyState
-OK
Nurse PractitionerOK
Clinical Social WorkerOK
P S Y C H I A T R YOK
Mental Health CounselorOK
Clinical Social WorkerOK
P S Y C H I A T R YOK
Nurse PractitionerOK
Clinical Social WorkerOK
Clinical Social WorkerOK

Reviews

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Frequently asked questions

What NPI should I save for JOHN B WHITE (MD)?
Save NPI 1063453223 if you need a stable reference for JOHN B WHITE (MD).
Is JOHN B WHITE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JOHN B WHITE (MD) treat or focus on?
Patients typically see JOHN B WHITE (MD) under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is JOHN B WHITE (MD)'s primary listing?
We display Broken Arrow, Oklahoma because that is what the record indicates for JOHN B WHITE (MD).
Is JOHN B WHITE (MD) a real provider?
This page reflects official NPPES data for NPI 1063453223. Always confirm identity and privileges with the practice and licensing boards.

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